KINH LUAN DINH PHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

KINH

Middle

LUAN DINH

Last Name

PHAN

Suffix

Business Name

KINH LUAN DINH PHAN MD

Original Issue Date

08/06/2004

Effective Date

08/06/2004

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020